The Role of the Midwife in supporting women with Breech presentation Essay

The Role of the Midwife in supporting women with rear of tube presentation to have a safe vaginal delivery and the implications for practice - Essay ExampleAs a result, without sufficient training and experience for obstetricians and midwives in managing vaginal breech births, the skills of these practitioners have been reduced. Based on this critical assessment of studies on vaginal breech births, it has been established that there are various factors touching the incidence of vaginal breech births, lack of experience among birth attendants at the top of the list. Also, the fear of judicial proceeding is impacting on the conduct of vaginal breech births. These practitioners are also unwilling to risk the life of the sister by attempting to deliver these infants vaginally. However, as was mentioned, studies have not definitively indicated that caesarean deliveries are actually improving extract rates for breech infants. More studies in line with this research are needed in army t o provide specific and definitive results which can be applied in the practice.This dissertation examines the decreasing utilisation of vaginal breech deliveries, in the context of choice available to women, the experience and expertise of the responsible midwives and the trends toward invidious delivery by caesarean section. This dissertation will be based on the authors perspective, available evidence and current practice and will further evaluate if the womens choices with regards to delivery of the breech are significantly impacted by the deskilllling of midwives or by the actual risks of the procedure itself. Current practice, as supported by the NICE and RCOG Guidelines recommends the counselling of women on their possible options for delivery, emphasizing the risks involved in vaginal and caesarean births (Royal College of Obstetricians and Gynaecologists, 2006). Many obstetricians and midwives however have only ever experienced vaginal breech deliveries in a simulated envi ronment, often making vaginal breech births riskier options for women (ROCG, 2006). Since practice is now